Javid Patrick J, Belkin Michael, Chew David K W
Division of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Vasc Endovascular Surg. 2005 Jan-Feb;39(1):113-6. doi: 10.1177/153857440503900112.
Mycotic aneurysm formation in a visceral artery carries a significant risk of mortality and morbidity. The authors present a case of a symptomatic superior mesenteric artery aneurysm secondary to a septic embolus in a patient who had undergone aortic valve replacement. The patient initially presented with evidence of acute intestinal ischemia from a presumed embolic source. Although an extensive bowel resection was performed, an adequate search for the embolus was not carried out. Prompt diagnosis and removal of suspected septic emboli must be performed to avoid the formation of delayed mycotic aneurysms.
内脏动脉霉菌性动脉瘤的形成具有很高的死亡率和发病率风险。作者报告了一例在接受主动脉瓣置换术的患者中，因感染性栓子继发症状性肠系膜上动脉动脉瘤的病例。患者最初表现出由推测的栓子来源导致的急性肠缺血迹象。尽管进行了广泛的肠切除术，但并未对栓子进行充分探查。必须迅速诊断并清除疑似感染性栓子，以避免延迟性霉菌性动脉瘤的形成。
